2025 CPT code 67950
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Canthoplasty; reconstruction of the canthus (outer corner of the eye).
Modifiers such as 50 (bilateral procedure), 58 (staged procedure), 22 (increased procedural services), and others may be applicable depending on the circumstances of the procedure. Refer to the CPT manual for guidance.
Medical necessity for canthoplasty can be established based on functional impairment (e.g., ectropion causing eye irritation or incomplete closure) or significant aesthetic concerns impacting the patient's quality of life. Documentation must support the clinical indication.
The clinical responsibility lies with the ophthalmologist or oculoplastic surgeon who performs the procedure. This involves pre-operative assessment, surgical technique, post-operative care, and management of any complications.
In simple words: Canthoplasty is an eye surgery to fix a droopy or sagging outer corner of the eyelid. The surgeon tightens the muscles and tissues around the corner of the eye to make it look less droopy and more open.This might be done to improve appearance or to fix a medical problem.
Canthoplasty is a surgical procedure performed to reconstruct or reshape the lateral canthus (outer corner of the eye) where the upper and lower eyelids meet.The procedure involves tightening the muscles, tendons, and ligaments in this area to correct drooping, sagging, or other deformities of the eyelid.This may involve incisions, adjustment of the lateral canthal tendon, and reattachment of tissues to achieve the desired outcome, improving the eyelid's shape and possibly enlarging the eye opening. The procedure can be used for both aesthetic and functional reasons, addressing conditions such as ectropion (lower eyelid drooping).
Example 1: A 65-year-old patient presents with lower eyelid sagging (ectropion) causing irritation and difficulty with complete eyelid closure. Canthoplasty is performed to tighten the lateral canthus, improving eyelid position and addressing the functional impairment., A 40-year-old patient desires a more almond-shaped eye appearance. Canthoplasty is performed for aesthetic reasons to lift and reshape the outer corner of the eye., A 50-year-old patient has undergone a prior blepharoplasty with an unsatisfactory outcome, resulting in lower eyelid retraction. Revisionary canthoplasty is performed to correct the anatomical distortion.
Preoperative photographs, operative report detailing the surgical technique, post-operative photographs, and any relevant pathology reports (if applicable).
** Canthoplasty is a complex procedure requiring specialized surgical expertise.The surgeon's skill and experience play a crucial role in determining the procedure's outcome.Accurate documentation and appropriate modifier usage are essential for accurate coding and reimbursement.
- Revenue Code: P4E (EYE PROCEDURE - OTHER)
- RVU: This information is not available in the provided text. Consult the CMS Physician Fee Schedule for current RVU values.
- Global Days: The global period for this procedure is not explicitly defined in the provided sources. The duration will depend on the complexity of the procedure and the surgeon's practice.
- Payment Status: Active
- Modifier TC rule: The TC modifier may not be applicable to this code.
- Fee Schedule: Historical fee schedule data is not available in the provided text. Consult relevant fee schedules for specific years.
- Specialties:Ophthalmology, Oculoplastic Surgery, Plastic Surgery
- Place of Service:Office, Ambulatory Surgery Center, Hospital (Inpatient or Outpatient)